sample carnet

ATA Carnet Service Provider for the United States Council for International Business since 1978

ATA Carnet A Trade Service of the United States Council for International Business

The Merchandise PassportYour Key to Customs

A Guide to the ATA Carnet

TRADE

a division of Roanoke Insurance Group Inc.

INTERNATIONAL GUARANTEE CHAINCHAÎNE DE GARANTIE INTERNATIONALE

*If applicable / *S'il y a lieu

A.T.A. CARNET CARNET A.T.A.

FOR TEMPORARY ADMISSION OF GOODSPOUR L'ADMISSION TEMPORAIRE DE MARCHANDISES

CUSTOMS CONVENTION ON THE A.T.A. CARNET FOR THE TEMPORARY ADMISSION OF GOODSCONVENTION DOUANIERE SUR LE CARNET A.T.A. POUR L'ADMISSION TEMPORAIRE DE MARCHANDISES

CONVENTION ON TEMPORARY ADMISSION / CONVENTION RELATIVE À L'ADMISSION TEMPORAIRE

(Before completing the Carnet, please read Notes on cover page 3 / Avant de remplir le carnet, lire la notice en page 3 de la couverture)

ATA

CARNET

CARNET

ATA

A. HOLDER AND ADDRESS / Titulaire et adresse G. FOR ISSUING ASSOCIATION USE / Réservé à l'association é mettriceFRONT COVER / Couverture

b) ISSUED BY / Délivré par

a) A.T.A. CARNET No.Carnet A.T.A. N o

Number of continuation sheets:Nombre de feuilles supplé mentaires: ......................................................

c) VALID UNTIL / Valable jusqu'au

.........................................................................................................................year month day (inclusive)

)sulcni( ruojsiomeénna

I. Signature of authorized official and IssuingAssociation stamp / Signature du délégué ettimbre de l'association émettrice

.......................................................................................

Place and Date of Issue (year/month/day)Lieu et date d'émission (année/mois/jour)

J.

X...............................................................................XSignature of Holder / Signature du titulaire

B. REPRESENTED BY* / Repré.senté par*

C. INTENDED USE OF GOODS / Utilisation prévue des marchandises

H. CERTIFICATE BY CUSTOMS AT DEPARTUREAttestation de la douane, au départ

a) Identification marks have been affixed as indicated in column 7against the following items No(s). of the General ListApposé les marques d'identification mentionnées dans la colonne 7 enregard du (des) numéro(s) d'ordre suivant(s) de la liste générale

..............................................................................................................................

..............................................................................................................................

b) GOODS EXAMINED* / Vérifié les marchandises*Yes / Oui No / Non

c) Registered under Reference No.*Enregistré sous le numéro* ................................

d) ............................................................ / .......... / ...............................................Customs Office Place Date (year/month/day) Signature and StampBureau de douane Lieu Date (année/mois/jour) Signature et timbre

P. This Carnet may be used in the following countries/customs territories under the guarantee of the associations listed on page 4 of the cover:/Ce carnet est valable dans les pays/ territoires douaniers ci-après, sous la garantie des associations reprises en page quatre de la couverture:

ALGERIA (DZ)ANDORRA (AD)AUSTRALIA (AU)BELARUS (BY)BOSNIA and HERZEGOVINA (BA)CANADA (CA)CHILE (CL)CHINA (CN)CROATIA (HR)GIBRALTAR (GI)HONG KONG, CHINA (HK)

AUSTRIA (AT)BELGIUM (BE)

CYPRUS (CY)CZECH REPUBLIC (CZ)DENMARK (DK)ESTONIA (EE)

FINLAND (FI)FRANCE (FR)GERMANY (DE)GREECE (GR)HUNGARY (HU)

ICELAND (IS)INDIA (IN)ISRAEL (IL)IVORY COAST (CI)JAPAN (JP)KOREA (KR)LEBANON (LB)MACAO, CHINA (MO)MACEDONIA (MK)MALAYSIA (MY)MAURITIUS (MU)

IRELAND (IE)ITALY (IT)

LATVIA (LV)LITHUANIA (LT)

MALTA (MT)

MEXICO (MX)MOLDOVA (MD)MONGOLIA (MN)MONTENEGRO (ME)MOROCCO (MA)NEW ZEALAND (NZ)NORWAY (NO)PAKISTAN (PK)RUSSIA (RU)SENEGAL (SN)SERBIA (RS)

NETHERLANDS (NL)POLAND (PL)PORTUGAL (PT)

SINGAPORE (SG)SOUTH AFRICA (ZA)SRI LANKA (LK)SWITZERLAND (CH)THAILAND (TH)TUNISIA (TN)TURKEY (TR)UKRAINE (UA)UNITED ARAB EMIRATES (AE)UNITED STATES (US)

SLOVAKIA (SK)SLOVENIA (SI)SPAIN (ES)SWEDEN (SE)UNITED KINGDOM (GB)

THE CARNET IS THE PROPERTY OF USCIB. AFTER FINAL USE, RETURN IT TO USCIB. 1212 AVENUE OF THE AMERICAS, NEW YORK, NY 10036, ATTN: CARNET REDEMPTION DEPARTMENT

(A RETOURNER A LA CHAMBRE EMETTRICE IMMEDIATEMENT APRES UTILISATION)

United States Council for International Business

LUXEMBOURG (LU)

The Holder of this Carnet and his representative will be held responsible for compliance with the laws and regulations of the country/customs territory of departure and the countries/customs territories of importation./A charge pour le tituaire et son représentant de se conformer aux lois et règlements du pays/territoire douanier de départ et des pays/territoires douaniers d'importation.

EUROPEAN UNION

OTHER COUNTRIES

W.C.F.

N1 (05/16/11)

BULGARIA (BG)

ROMANIA (RO)

Issuing AssociationAssociation émettrice

2012 08 15

John Doe, Sales Manager

2011/ 08/ 15

General ListReverse of Green Cover

1

2

3

4

5

Alarm subsystem w/ cablesModel: ESPALARM s/n: 190113

CPU subsystem w/ cables and access panel Model: ESPCPU n/a: 1234567 & 1234568

Video Interface Card s/n: 987654

Miscellaneous Cables

Exhibit Display roll-out panel 6’ x 3’

1

2

1

15

1

15 lbs. $3,400 US

CN

JP

US

US

$5,000

$800

$50

$1,000

40 lbs.

1 lb.

2 lbs.

30 lbs.

20 $10,250

0 US3 / 07 99999

** NO CHANGES OR ADDITIONS ABOVE OR BELOW THIS LINE **

The ORIGINAL General List will be printed on the reverse side of the Green Cover. If the General List is more than one page, Continuation Sheets will follow this page. The ORIGINAL General List will always remain with the Carnet.

Continuation Sheets are numbered beginning with the fi rst attached page.

Note: If your list was not entered through the web-based application process the reverse side of the cover may be blank and the list will begin on a separate page.

The General List descrip-tion should be as complete as possible and must show model numbers, serial num-bers, and identifying marks where applicable.

The General List is “goods specifi c,” therefore no substi-tutions may be made.

Like items may be listed on the same line.

The weight and value for each line is the total weight or value for all items on that line.

The country of origin is the country in which the goods were manufactured or fi nished.

IMPORTANT: NO changes or ammendments may be made to the ORIGINAL Gen-eral List.

The yellow pages are for use in the United States and contain pairs of Exporta-tion and Re-importation counterfoils.

Each time you depart the United States, an Exportation counterfoil must be completed by a customs offi cial.

When you re-enter the U.S. a Re-importation counterfoil must be completed by a customs offi cial.

Although the counterfoils are generally completed in their entirety by a customs offi cial, It is acceptable for the Holder (or Authorized Representa-tive of the Holder) to complete section 1 by entering the line item numbers of the goods that will be exported or re-imported.

Note: The Exportation and Re-importation counterfoils do not have corresponding vouchers.

IMPORTANT: Obtaining a customs validation upon re-entry into the U.S. is your last line of defense against a claim from foreign customs.

There will be enough Ex-portation and Reimportation counterfoils available in your Carnet to correspond with the number of trips you indicated you would be taking at the time of your application

Any sets of counterfoils be-yond the number originally requested will be marked as “VOID” across the face of the counterfoil and may not be used.

If additional sets of Exporta-tion/Re-importation coun-terfoils are required for con-tinued travel, contact your issuing offi ce.

V O I D

V O I D

US3 / 07 99999

1

1

Exportation / Re-importation Counterfoils

The reverse side of the yel-low Exportation and Reim-portation Counterfoils will contain additional sets of counterfoils.

If your Carnet application noted that you would be making more than two trips out of/into the U.S., these counterfoils will be numbered and may be validated by U.S. Customs and Border Protection.

If you did not request these sets of counterfoils with your original application, they will be marked as “VOID” across the face of the counterfoil and may not be used.

If additional sets of Exporta-tion/Re-importation Coun-terfoils are required for con-tinued travel, contact your issuing offi ce. V O I D

V O I D

V O I DV O I D

Exportation / Re-importation CounterfoilReverse

V O I D

V O I D

The white pages are for use in foreign countries and contain pairs of Importation and Re-exportation counterfoils.

White Importation and Re-exportation Counterfoils also have corresponding vouchers (see following pages).

The counterfoils will be re-tained in the Carnet as your proof of importation and re-exportation of your goods.

Each time you enter a foreign country, the Carnet must be presented to foreign customs and an Importation Counterfoil AND its corresponding vouch-er must be completed.

IMPORTANT: Goods must be exported by midnight of the “Final date for reexportation” (section 2 of the Importation Counterfoil).

When you depart the foreign country, the Carnet must be presented to customs and a Re-exportation Counterfoil AND its corresponding vouch-er completed.


Additional sets of Importation/Re-exportation Counterfoils may be obtained by contact-ing your issuing offi ce.

IMPORTANT: Failure to have the Re-exportation Voucher validated when departing a foreign country will result in a foreign customs claim.

Importation / Re-exportation Counterfoils

US3 / 07 99999

1

1

The reverse side of the white Importation and Re-expor-tation Counterfoils will also contain sets of counterfoils.

If your Carnet application noted that you would be making more than two trips to foreign countries, these counterfoils will be numbered and may be validated by foreign customs.


If additional sets of coun-terfoils are required for con-tinued travel, contact your issuing offi ce.

V O I DV O I DV O I DV O I D

Importation / Re-exportation CounterfoilReverse

2012 08 15

1

2

3

4

5






1

2

1

15

1

15 lbs. $3,400 US

CN

JP

US

US

$5,000

$800

$50

$1,000

40 lbs.

1 lb.

2 lbs.

30 lbs.

20 $10,250

0 US3 / 07 99999


General ListReverse of Importation Voucher

The General List will be printed on the reverse side of each Importation Voucher.

If your General List is more than one page, Continuation Sheets will be attached in most cases.

If General List pages are not printed and/or Continuation Sheets not attached to a voucher, you must photo-copy the complete list and at-tach it to the voucher PRIOR to presenting to customs.

The FINAL page of the Gen-eral List should be on the top. This allows customs to easily locate the total value of the list.

For a partial shipment, line items may be crossed off ONLY on the copy that is printed or attached to the reverse of the voucher.

2012 08 15

1

2

3

4

5






1

2

1

15

1

15 lbs. $3,400 US

CN

JP

US

US

$5,000

$800

$50

$1,000

40 lbs.

1 lb.

2 lbs.

30 lbs.

20 $10,250

0 US3 / 07 99999


General ListReverse of Re-exportation Voucher

The General List will be printed on the reverse side of each Re-exportat ion Voucher.


If General List pages are not printed and/or Continuation Sheets not attached to a voucher, you must photo-copy the complete list and at-tach it to the voucher PRIOR to presenting to customs.


For a partial shipment, line items may be crossed off ONLY on the copy that is printed or attached to the reverse of the voucher.

The blue Transit pages may or may not be included in your Carnet depending upon whether or not you indicated at the time of your application that you would be transiting countries.

Transit Counterfoils and their corresponding vouchers are generally required only when transiting through one coun-try by land en route to a fi nal destination country. They are not used for connecting fl ights between countries.

Upon entry, foreign customs will indicate items being transited in section 1 and will assign a fi nal date that goods must exit under section 2. The official will complete sections 4-7 of both coun-terfoils.

Upon departure from the foreign country, customs will complete the Certifi cate of Discharge on the second counterfoil.

The Transit Counterfoils will remain in the Carnet as proof that goods were imported and then reexported from the country through which they were being transited through.


If additional sets of Transit Counterfoils are required, you will need to contact your issuing offi ce.V O I D

V O I D

Transit Counterfoils

US3 / 07 99999

1

1

The reverse side of the blue Transit Counterfoils will also contain sets of counterfoils.

If your Carnet application noted that you would be making more than two tran-sits through foreign coun-tries, these counterfoils will be numbered and may be validated by foreign cus-toms.


If additional sets of Transit Counterfoils are required, contact your issuing offi ce.

V O I DV O I DV O I DV O I D

Transit CounterfoilsReverse

2012 08 15

1

2

3

4

5






1

2

1

15

1

15 lbs. $3,400 US

CN

JP

US

US

$5,000

$800

$50

$1,000

40 lbs.

1 lb.

2 lbs.

30 lbs.

20 $10,250

0 US3 / 07 99999


General ListReverse of Transit Voucher

The General List will be printed on the reverse side of each Transit Voucher.


If General List pages are not printed and/or Continuation Sheets not attached to a voucher, you must photo copy the complete list and at-tach it to the voucher PRIOR to presenting to customs.


For a partial shipment, line items may be crossed off ONLY on the General List copy that is printed or at-tached to the reverse of the voucher.

2012 08 15

General ListReverse of Transit Voucher

The General List will be printed on the reverse side of each Transit Voucher.


If General List pages are not printed and/or Continuation Sheets not attached to a voucher, you must photo copy the complete list and at-tach it to the voucher PRIOR to presenting to customs.


For a partial shipment, line items may be crossed off ONLY on the General List copy that is printed or at-tached to the reverse of the voucher.

1

2

3

4

5






1

2

1

15

1

15 lbs. $3,400 US

CN

JP

US

US

$5,000

$800

$50

$1,000

40 lbs.

1 lb.

2 lbs.

30 lbs.

20 $10,250

0 US3 / 07 99999


Green CoverPage 3

General rules of the Customs Convention on the ATA Car-net are found on page 3 of the Green Cover.

Green CoverPage 4

Roanoke Trade Services, Inc.1475 E. Woodfield Road, Suite 500Schaumburg, IL 60173Tel 800-762-6653 / Fax [email protected] / www.CarnetsOnline.com

The countries in which the Carnet may be used and their Guaranteeing Associa-tions are located are listed on page 4 of the Green Cover.

The Carnet is the property of the USCIB. Therefore, upon fi nal use of the Car-net, it should be returned to Roanoke Trade Services at the address noted on the document. Roanoke Trade will review your document and will forward to USCIB for closure.

Failure to return the Carnet will delay fi nal closure of the document and could result in a foreign customs claim.

Guaranteeing Associations members of WCF / A.T.A. International Guarantee ChainAssociations Garantes membres de la Chaîne de Garantie Internationale WCF / A.T.A.

Box reserved for use by the issuing chamber of commerceCadre réservé à la chambre de commerce émettrice

As a user of this A.T.A. Carnet, you are entitled to the assistance of your A.T.A. contact personat the Chamber of Commerce and Industry of:

Utilisateur de ce Carnet A.T.A., vous bénéficiez de l'assistance de votre correspondant A.T.A.à la Chambre de commerce et d'industrie de:

Mr./ Ms. : M./ M me:

Address:Adresse:

Tel.:

Fax:E-mail:

AFTER FINAL USE, RETURN THIS ATA CARNET TO USCIB, 1212 AVENUE OF THE AMERICAS, NEW YORK, NY 10036.

À QUI VOUS DEVEZ IMPÉRATIVEMENT RETOURNER CE CARNET APRÈS UTILISATION

ALGERIA (DZ) Chambre Nationale de Commerce, Algiers.

ANDORRA (AD) Chambre de Commerce, d'Industrie et des Servicesd'Andorre, Andorra la Vella.

AUSTRALIA (AU) Victorian Employers' Chamber of Commerceand Industry, Melbourne.

AUSTRIA (AT) Wirtschaftskammer Österreich, Vienna.

ATA Carnets are issued for a specific category(ies) of intended use. See cover page 1 of the Carnet to confirm which applies to your merchandise. Your ATA Carnet may only enter a country which accepts that category. The category codes are: CS --- Commercial Samples, EF --- Exhibitions/Fairs, PE --- Professional Equipment. These three categories are accepted by all Carnet countries, except where indicated.

ATTENTION: CARNET REDEMPTION DEPARTMENT.

Problems with Customs?Should you encounter difficulty with foreign customs when us ing an ATA Car ne t , con tac t the l oca l guaranteeing association. Alternatively, contact your Carnet Ser v ice Bureau or v is i t our websi te at h t t p : / /www.merchand isepasspo r t . o rg ; c l i ck "Countries".

BELGIUM (BE) Fédération Nationale des Chambres de Commerceet d'Industrie de Belgique, Brussels.

BULGARIA (BG)

BOSNIA and HERZEGOVINA (BA)

Bulgarian Chamber of Commerce and Industry, Sofia.

Foreign Trade Chamber of Bosnia and Herzegovina,Sarajevo.

CANADA (CA) --- (CS, EF, certain PE will be accepted)Canadian Chamber of Commerce, Ottawa.

CHINA (CN) --- (EF only) China Council for the Promotion of International Trade,

CROATIA (HR) Croatian Chamber of Economy, Zagreb.

CYPRUS (CY) Cyprus Chamber of Commerce and Industry, Nicosia.

CZECH REPUBLIC (CZ) Economic Chamber of the Czech Republic, Prague.

DENMARK (DK) Danish Chamber of Commerce, Copenhagen.

ESTONIA (EE) Estonian Chamber of Commerce and Industry, Tallinn.

FINLAND (FI) Central Chamber of Commerce of Finland,Helsinki.

FRANCE (FR) Chambre de Commerce et d'Industrie de Paris, Paris.

GERMANY (DE) Deutscher Industrie-und Handelskammertag, Berlin.

GIBRALTAR (GI) Gibraltar Chamber of Commerce, Gibraltar.

GREECE (GR) Athens Chamber of Commerce and Industry, Athens.

HONG KONG, CHINA (HK) Hong Kong General Chamber of Commerce,Hong Kong.

HUNGARY (HU) Magyar Kereskedelmi és Iparkamara, Budapest.

ICELAND (IS) Iceland Chamber of Commerce, Reykjavik.

INDIA (IN) --- (EF only) Federation of Indian Chambers of Commerceand Industry, New Delhi.

IRELAND (IE) Dublin Chamber of Commerce, Dublin.

ISRAEL (IL) Federation of Israeli Chambers of Commerce, Tel-Aviv.

ITALY (IT) Unione Italiana delle Camere di Commercio, Industria,Artigianato e Agricoltura, Rome.

IVORY COAST (CI) Chambre de Commerce et d'Industrie de Côte d'Ivoire,Abidjan.

JAPAN (JP) Japan Chamber of Commerce and Industry, Tokyo.

KOREA (KR) Korea Chamber of Commerce and Industry, Seoul.

LATVIA (LV) Latvian Chamber of Commerce and Industry, Riga.

LEBANON (LB) --- (EF, PE) Beirut Chamber of Commerce and Industry, Beirut.

LITHUANIA (LT) Association of Lithuanian Chambers of Commerce,Industry and Crafts, Vilnius.

MACEDONIA (MK) Economic Chamber of Macedonia, Skopje.

MALAYSIA (MY) Malaysian International Chamber of Commerceand Industry, Kuala Lumpur.

MALTA (MT) Malta Chamber of Commerce, Valletta.

MAURITIUS (MU) --- (All goods except jewelry)Mauritius Chamber of Commerce and Industry,Port Louis.

Beijing.

LUXEMBOURG (LU) Fédération Nationale des Chambres de Commerceet d'Industrie de Belgique, Brussels.

Cover Page 4

BELARUS (BY) --- (EF, PE) Belarusian Chamber of Commerce and Industry, Minsk.

(05/16/11)

CHILE (CL) Santiago Chamber of Commerce, Santiago.

MOROCCO (MA) --- (EF only) Chambre de Commerce, de l'Industrie et des Servicesde la Wilaya du Grand Casablanca, Casablanca.

NETHERLANDS (NL) Amsterdam Chamber of Commerce and Industry,Amsterdam.

NEW ZEALAND (NZ) Wellington Regional Chamber of Commerce,Wellington.

NORWAY (NO) Oslo Chamber of Commerce, Oslo.

POLAND (PL) Polish Chamber of Commerce, Warsaw.

PORTUGAL (PT) Camara de Comercio e Industria Portuguesa, Lisbon.

ROMANIA (RO) Chamber of Commerce and Industry of Romania,Bucharest.

SENEGAL (SN) Chambre de Commerce et d'Industrie de la Régionde Dakar, Dakar.

SINGAPORE (SG) Singapore International Chamber of Commerce,Singapore.

SLOVAKIA (SK) Slovak Chamber of Commerce and Industry,Bratislava.

SLOVENIA (SI) Gospodarska Zbornica Slovenije, Ljubljana.

SOUTH AFRICA (ZA) South African Chamber of Business, Saxonwold.

SPAIN (ES) Consejo Superior de las Camaras Oficialesde Comercio, Industria y Navegación de España,Madrid.

SRI LANKA (LK) ICC Sri Lanka, Colombo.

SWEDEN (SE) Stockholm Chamber of Commerce, Stockholm.

SWITZERLAND (CH) Alliance des Chambres de Commerce Suisses, Geneva.

THAILAND (TH) Board of Trade of Thailand, Bangkok.

TUNISIA (TN) --- (EF, PE) Chambre de Commerce et d'Industriede Tunis, Tunis.

TURKEY (TR) Union of Chambers of Commerce, Industry,Maritime Commerce and Commodity Exchangesof Turkey, Ankara.

UNITED KINGDOM (GB) London Chamber of Commerce and Industry, London.

UNITED STATES (US) --- (CS, PE)United States Council for International Business,New York.

RUSSIA (RU) Chamber of Commerce and Industry of the RussianFederation, Moscow.

SERBIA (RS) Chamber of Commerce and Industry of Serbia, Belgrade.

PAKISTAN (PK) --- (PE, EF) National Committee of the International Chamber of Commerce, Karachi.

UKRAINE (UA) Ukrainian Chamber of Commerce and Industry, Kiev.

MONGOLIA (MN) --- (PE, EF) Mongolian National Chamber of Commerce and Industry, Ulaanbaatar.

MONTENEGRO (ME) Chamber of Economy of Montenegro, Pordgorica.

MOLDOVA (MD) Chamber of Commerce and Industry of the Republic of Moldova, Chisinau.

MACAO, CHINA (MO) Macao Chamber of Commerce, Macao.

UNITED ARAB EMIRATES (AE) --- (EF only)Dubai Chamber of Commerce and Industry, Dubai

MEXICO (MX) Mexico City National Chamber of Commerce, Mexico, D.F.

United States Council for International Business

Roanoke Trade Services, Inc.

Corporate Office

1475 E. Woodfi eld Road, Suite 500Schaumburg, IL 60173800-762-6653 / Fax [email protected] / www.CarnetsOnline.com

Regional Offices

BaltimoreBostonCharlestonChicagoHoustonLos AngelesMiamiNew YorkSan FranciscoSeattle

sample carnet

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